Collaboration NCLEX Style Questions and Answers with verified solutions

Collaboration NCLEX Style Questions and Answers with verified solutions A client tells the nurse that the pain medication is ineffective and causes too many side effects. Which interprofessional team member should the nurse consult? (Select all that apply.) Dentist Dietician Physician Pharmacist Complementary healthcare provider - ANS- Physician Pharmacist Complementary healthcare provider The physician ordering pain medication is one interprofessional team member to involve, as they are aware of the ineffectiveness and adverse effects of the current medication ordered.The pharmacist is another interprofessional team member to assess interaction of all medications currently prescribed and recommend untried therapies.The complementary healthcare provider can provide adjunct therapies for pain like massage and reflexology. A dentist would be consulted for issues of the teeth, gums, and oral cavity. A dietician would be consulted for nutrition needs. A nurse is planning to teach a class about preventing workplace bullying. Which behavior should the nurse include? (Select all that apply.) Encouraging nonthreatening reporting Developing acceptable codes of conduct Isolating the victim to provide a safe environment Educating others about the ramifications of bullying Talking about the abuser to make the victim feel better - ANS- Encouraging nonthreatening reporting Developing acceptable codes of conduct Educating others about the ramifications of bullying Nonthreatening reporting that is taken seriously, developing acceptable codes of conduct, and education on the impact of bullying all support the prevention of bullying in the workplace. The victim may already feel isolated and should be made to feel part of a supported team. Talking about the abuser does not promote professional behaviors. An organization has goals to promote mutual respect within the interprofessional team and to improve client outcomes. Which action by the organization supports mutual respect? Placing physician leaders for each hospital department Upholding the tradition of patriarchal nurse physician relationships Implementing interprofessional rounding Promoting verbal acknowledgment of mutual respect - ANS- Implementing interprofessional rounding Interprofessional rounding promotes mutual respect through collaboration on client-centered care. Verbal acknowledgement is not meaningful without nonverbal support. Physician leadership should have nursing counterparts to promote mutual understanding of authority. The traditional nurse physician relationship must change to allow for mutual trust in collaboration. Nurses are utilizing an approach that involves addressing an issue of conflict with a resolution that satisfies both parties. Which approach is being used? Competing Compromising Accommodating Avoiding - ANS- Compromising Compromising involves addressing the conflict with a solution that satisfies all parties. Avoiding is purposely not addressing the conflict, sometimes done to collect more information. Competing involves an assertive presentation of one's side of the issue. Accommodating neglects the desires of one side to allow the other party satisfactory resolution. The collaborative team treating a client includes the cardiologist, dietician, social services, and a nurse case manager. The team works together to establish a plan of care based on the client's goals. Which outcome is likely to result from this type of collaboration for the client? Decreased adherence with the plan of care Increased healthcare costs Improved relationship between the physician and the client Enhanced continuity of care - ANS- Enhanced continuity of care When effective collaboration occurs, quality of care improves; effective collaboration directly impacts client outcomes and enhanced continuity of care results. An increase, not a decrease, in adherence with the care plan is an outcome of collaboration. Healthcare costs will decrease, not increase, with collaboration. An improved physician-client relationship is not an outcome of collaboration; however, improved relationships do occur within the healthcare team as a result of collaboration. The nurse attended a class about preventing horizontal violence in the workplace. Which action by the nurse indicates that learning occurred? Teaching others through unit presentations about the ramifications of workplace violence Ignoring negative statements of others about nurses on the unit Allowing nurses who have been victims to approach and humiliate their abusers Encouraging gossip about peers and other staff members - ANS- Teaching others through unit presentations about the ramifications of workplace violence Each nurse and nurse manager has a responsibility to act to prevent workplace bullying. One way to prevent this form of aggression and violence is to educate others about the ramifications of bullying. Condoning or encouraging gossip, ignoring negative comments, and allowing humiliating or hostile behaviors are actions that promote, rather than discourage, bullying in the workplace. The nurse experiences workplace bullying. Which action should the nurse anticipate from the administration to support steps toward successful resolution of this issue? Asking the nurse to provide at least three witnesses to the event Encouraging the employee to transfer out of the department Ignoring the report of bullying until it is reported more than once Obtaining details of the event before taking action - ANS- Obtaining details of the event before taking action The nurse manager would obtain details on who was involved, when the event occurred, and details of the event before taking action to resolve the bullying issue. Witnesses would be encouraged to come forward but are not required. The manager would support resolution of the bullying, not encourage the employee to change roles or ignore the report. The nurse has ideas on how to streamline charting in the electronic medical record. Which interprofessional team member should the nurse consult? Information technology expert Complementary healthcare provider Unlicensed assistive personnel Paramedical technologist - ANS- Information technology expert The information technology expert would be the collaborative partner to explore changes and to enhance the electronic medical record.The paramedical technologist would be consulted for laboratory and imaging issues.The unlicensed assistive personnel can help with delegated tasks of hands on care.The complementary healthcare provider would be consulted for complementary medical therapies such as acupuncture.